Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boban Mathew, MD

Individual provider Cardiovascular Disease Physician · NPI 1548423080

Boban Mathew, MD is an Interventional Cardiology in Bismarck, North Dakota. Qualified in 1983, 43 years ago. Practices with Mchs Hospitals Inc, a 1,194-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota and Wisconsin.

Years since qualifying
43
Licensed in
ND, WI
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

310 N 10th St Heart & Lung Unit ST Alexius Hospital
Bismarck, ND 58501-4516
Phone: (701) 530-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 N Oak Ave, Marshfield, WI 54449-5703 — (715) 387-5511

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 11354 (ND)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 11354 (ND)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 71911 (WI)

Record details

NPI number1548423080
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 4, 2008
Last updated in NPPESApril 5, 2024
Certification dateApril 3, 2024
Mailing address310 N 10th St, Heart & Lung Unit, St Alexius Hospital, Bismarck, ND 58501-4516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice McHs Hospitals Inc — 1194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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